(Single Best Answer) Question 161: A 23 year old engineering student is brought by his family to the hospital with a history of gradual onset of suspiciousness, muttering and smiling without clear reason, decreased socialization, violent outbursts, and lack of interest in studies for 8 months. Mental status examination revealed a blunt affect, thought broadcast, a relatively preserved cognition, impaired judgment and insight. He is most likely to be suffering from ?
A) Delusional disorder B) Depression C) Schizophrenia D) Anxiety disorder Answer (Select an option above to get the answer):
(Single Best Answer) Question 162: A 23 year old college student has asymptomatic and hyperpigmented macules on both palms for three weeks. The most appropriate diagnostic test is ?
A) Veneral Diseases Research Laboratory (VDRL) test B) Skin biopsy C) Serum cortisol levels D) Assay for arsenic in skin, hair and nails Answer (Select an option above to get the answer):
(Single Best Answer) Question 163: A 20 year old female, asymptomatic, not requiring blood transfusion, presents with Hb 13.0g/dl. Her HbF levels are 95%, HbA2 1.5%. Which of the following is the most likely diagnosis ?
A) Hereditary persistence of fetal hemoglobin B) Beta homozygous thalassemia C) Thalassemia intermedia D) Beta heterozygous thalassemia Answer (Select an option above to get the answer):
(Single Best Answer) Question 164: A 20 year old female presents with history of dyspnoea on exertion. On examination, she has wide, fixed split of S2 with ejection systolic murmur (III/VI) in left second intercostal space. Her EKG shows left axis deviation. The most probable diagnosis is ?
A) Total anomalous pulmonary venous connection B) Tricuspid atresia C) Ostium primum atrial septal defect D) Tetralogy of Fallot Answer (Select an option above to get the answer):
(Single Best Answer) Question 165: A 2 year old child comes with discharge, seborrheic dermatitis, polyuria and hepatosplenomegaly. Which of the following is the most likely diagnosis ?
A) Leukemia B) Lymphoma C) Langerhan's cell histiocytosis D) Germ cell tumor Answer (Select an option above to get the answer):
(Single Best Answer) Question 166: A 19 year old boy suffering from chronic schizophrenia is put on haloperidol in the dose of 20 mg /day. A week after the initiation of medication the patient shows be restlessness, fidgety, irritability and cannot sit still at one place. The most appropriate treatment strategy is ?
A) Increase in the dose of haloperidol B) Addition of anticholinergic drug C) Addition of betablocker D) Adding another antipsychotic drug Answer (Select an option above to get the answer):
(Single Best Answer) Question 167: Which of the following is the most likely inheritance
pattern in the pedigree given below ?
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┌┬┴┐ ┌─┴─┐
┌─┴┬──┬───┐
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A) Autosomal dominant B) Mitochondrial C) Autosomal recessive D) X-linked dominant Answer (Select an option above to get the answer):
A) a chondrosarcoma B) a metastatic tumor in the bone C) an osteogenic sarcoma D) an Ewing's sarcoma Answer (Select an option above to get the answer):
(Single Best Answer) Question 170: A 55 year old male, with uncontrolled diabetes mellitus and hypertension, developed severe air borne contact dermatitis. The most appropriate drug for his treatment would be ?
A) Systemic corticosteroids B) Thalidomide C) Azathioprine D) Cyclosporine Answer (Select an option above to get the answer):